Louisiana WIC Authorized Vendor Hub
Welcome to the Louisiana WIC Program's Authorized Vendor Hub! Here you will be able to find the information which is the most requested by WIC Vendors or anyone interested in becoming a WIC Vendor. We hope you find this site helpful.
If you have any questions or need additional assistance, please contact us at (504) 568-8229 or by Fax at (504) 568-8232.
WIC Program and WIC Vendor Partnership
The partnership between the Louisiana WIC Program and the WIC-authorized Vendors is an integral component of a successful nutrition program.
The Vendor's role in the process of improving health is an important one. Vendors ensure that WIC participants receive the correct type and amount of food in the month it is intended to be received. This serves as reinforcement to the WIC client's nutrition education. The Vendor's role is essential in making the Louisiana WIC Program successful.
Louisiana WIC Authorized Vendor Essential Documents and Links
- Louisiana WIC Vendor Annual Training
- Louisiana WIC-20 Food Instrument/Cash Value Voucher Reimbursement Form
- Louisiana WIC-20 EBT/Cash Value Voucher Reimbursement Form
- Louisiana WIC-33 Food Instrument/Cash Value Voucher Transaction Procedures
- Louisiana WIC-33 EBT/Cash Value Voucher Transaction Procedures
- Louisiana WIC-33 Transaction Procedure Training Log
- Louisiana WIC-33 EBT Transaction Procedure Training Log
- Louisiana WIC Above 50% WIC Vendors
- Louisiana WIC Vendor Alerts
- Louisiana WIC Current Authorized Vendors
- Louisiana WIC Report WIC Fraud
- Louisiana WIC File a WIC Complaint
- Louisiana WIC Approved Food List (WIC-23)
- Louisiana WIC Statewide Average Prices
- WIC Approved Foods Least Expensive Brands (LEB)
- Louisiana WIC Vendor Request for Appeal Form (You must download and save, to submit electronically
Smart Card Certified Systems
Louisiana WIC Request To Add UPC Form
Please click on the link for UPC(s) Procedure to add to the Approved Food List Louisiana UPC Procedure
Please click on the link to fill out the request to add UPC(s) Louisiana UPC Request Form
Louisiana WIC Authorization Documents
- Louisiana WIC Vendor Application - “For questions about the WIC Vendor Application, please email LAWICVendor@la.gov”.
- Louisiana WIC Vendor Agreement
- Louisiana WIC Vendor Guide
- Louisiana WIC EBT Vendor Guide
- Louisiana WIC EBT ACH Agreement
- Louisiana WIC Signature Authority Letter
- Louisiana WIC Written Resolution for the Board of Directors
- Louisiana WIC Food Sales Factsheet
- Louisiana WIC Price Report Sheet (WIC-3)
- Louisiana WIC Sample Permit to Operate Document
- Louisiana WIC Vendor Moratorium Lift Memo
Louisiana WIC Authorized Infant Formula Provider List